Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience
Introduction. Infertility occurs in approximately10% of couples and in vitro fertilisation (IVF) is its most efficient treatment method. The National IVF Programme started in October 1st, 2006. Objective. Examination of morbidity and mortality of premature neonates conceived by IVF after initiation...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2010-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791002067S.pdf |
| _version_ | 1818788438141304832 |
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| author | Spasojević Slobodan Konstantinidis Georgios Doronjski Aleksandra |
| author_facet | Spasojević Slobodan Konstantinidis Georgios Doronjski Aleksandra |
| author_sort | Spasojević Slobodan |
| collection | DOAJ |
| description | Introduction. Infertility occurs in approximately10% of couples and in vitro fertilisation (IVF) is its most efficient treatment method. The National IVF Programme started in October 1st, 2006. Objective. Examination of morbidity and mortality of premature neonates conceived by IVF after initiation of the National IVF Programme. Methods. Retrospective analysis of history charts of IVF premature neonates treated at the Neonatal Intensive Care Unit (NICU) of the Institute of Child and Youth Healthcare of Vojvodina, Novi Sad, Serbia, from March 1st, 2007 to March 1st, 2008. Results. Of 189 treated premature neonates, 25 (13.23%) were IVF conceived, with mean gestational age (GA) of 29.46±3.28 gestational weeks (GW), one-minute Apgar score 5.44±2.45, five-minute Apgar score 7.16±1.92 and birth weight (BW) 1299±484.35 g; from singleton 12 (48%), twin 10 (40%), and trigeminal 3 (12%) gestations. The largest number of neonates were of GA between 29 and 31.9 GW (12; 48%) and BW between 1500 and 2499 g (9; 36%). All of them were treated due to respiratory distress syndrome, complicated in 2 (8%) with air leak syndromes and in 4 (16%) with pulmonary haemorrhage. Congenital anomalies were detected in 2 (8%) and intracranial haemorrhage developed subsequently in 21 (84%) neonates. Lethal outcome occurred in 7 (28%) neonates, in all cases in lower gestation groups (<29 GW). Variable analysis showed significantly higher incidence of chorioamnionitis (p=0.0004) and lower GA (p~0.00), BW (p~0.00), one-minute Apgar score (p=0.0007) as well as significant difference in prophylactic surfactant application (p~0.00) and mean arterial pressure on admission (p=0.002). Conclusion. Morbidity and mortality of IVF premature neonates does not differ significantly from that of other premature neonates treated at NICU. Prematurity and low BW are important factors in pathology of these neonates and final outcome is influenced by perinatal asphyxia, risk of systemic infection, prophylactic surfactant application and arterial hypotension. |
| first_indexed | 2024-12-18T14:23:40Z |
| format | Article |
| id | doaj.art-adab2c441a1c438c967b8218f64f2f4f |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-18T14:23:40Z |
| publishDate | 2010-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-adab2c441a1c438c967b8218f64f2f4f2022-12-21T21:04:46ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-011381-2677110.2298/SARH1002067SMorbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experienceSpasojević SlobodanKonstantinidis GeorgiosDoronjski AleksandraIntroduction. Infertility occurs in approximately10% of couples and in vitro fertilisation (IVF) is its most efficient treatment method. The National IVF Programme started in October 1st, 2006. Objective. Examination of morbidity and mortality of premature neonates conceived by IVF after initiation of the National IVF Programme. Methods. Retrospective analysis of history charts of IVF premature neonates treated at the Neonatal Intensive Care Unit (NICU) of the Institute of Child and Youth Healthcare of Vojvodina, Novi Sad, Serbia, from March 1st, 2007 to March 1st, 2008. Results. Of 189 treated premature neonates, 25 (13.23%) were IVF conceived, with mean gestational age (GA) of 29.46±3.28 gestational weeks (GW), one-minute Apgar score 5.44±2.45, five-minute Apgar score 7.16±1.92 and birth weight (BW) 1299±484.35 g; from singleton 12 (48%), twin 10 (40%), and trigeminal 3 (12%) gestations. The largest number of neonates were of GA between 29 and 31.9 GW (12; 48%) and BW between 1500 and 2499 g (9; 36%). All of them were treated due to respiratory distress syndrome, complicated in 2 (8%) with air leak syndromes and in 4 (16%) with pulmonary haemorrhage. Congenital anomalies were detected in 2 (8%) and intracranial haemorrhage developed subsequently in 21 (84%) neonates. Lethal outcome occurred in 7 (28%) neonates, in all cases in lower gestation groups (<29 GW). Variable analysis showed significantly higher incidence of chorioamnionitis (p=0.0004) and lower GA (p~0.00), BW (p~0.00), one-minute Apgar score (p=0.0007) as well as significant difference in prophylactic surfactant application (p~0.00) and mean arterial pressure on admission (p=0.002). Conclusion. Morbidity and mortality of IVF premature neonates does not differ significantly from that of other premature neonates treated at NICU. Prematurity and low BW are important factors in pathology of these neonates and final outcome is influenced by perinatal asphyxia, risk of systemic infection, prophylactic surfactant application and arterial hypotension.http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791002067S.pdfpremature neonatesin vitro fertilisationmorbiditymortality |
| spellingShingle | Spasojević Slobodan Konstantinidis Georgios Doronjski Aleksandra Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience Srpski Arhiv za Celokupno Lekarstvo premature neonates in vitro fertilisation morbidity mortality |
| title | Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience |
| title_full | Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience |
| title_fullStr | Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience |
| title_full_unstemmed | Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience |
| title_short | Morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme: Our experience |
| title_sort | morbidity and mortality of premature neonates after introduction of national in vitro fertilisation programme our experience |
| topic | premature neonates in vitro fertilisation morbidity mortality |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791002067S.pdf |
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